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Prescription Required for:

  • CPAP and BiPAP machines
  • CPAP masks
  • 5-liter stationary oxygen concentrators
  • Portable oxygen concentrators

No Prescription Needed for:

  • CPAP accessories and replacement parts, including:
    • Filters
    • Tubing
    • Water chambers
    • Mask parts, cushions, and nasal pillows

How to Get a Prescription:

  • Log into your patient portal or electronic health record such as MyChart 
  • Send a message or call your primary care provider to request a prescription
  • Prescriptions may be issued for:
    • Lifetime Need
    • 99-Month Duration
    • These types of prescriptions can be used for ongoing supply needs

Prescription Should Include:

  • Patient’s full name
  • Physician’s name and contact info
  • Physician’s signature

Diagnosis

  • A statement of medical necessity (e.g., “CPAP Machine with Mask”)
  • For CPAP/BiPAP: Pressure settings (used to program your machine)

How to Submit Your Prescription

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